Summers Pharmacy 13 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SUMMERS PHARMACY 13 INC

Practice address

1020 Thompson Blvd Ste 100
Sedalia, MO 65301-2243

Phone

(660) 851-0717

Fax

(660) 310-3170

NPI assigned

Nov 21, 2021

Last updated

Mar 26, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERS PHARMACY ENTERPRISES, CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Summers, PHARM DNPI 1720076037

Title

President

Phone

(660) 351-0602

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Summers Pharmacy 13 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summers Pharmacy 13 Inc

  dba Summers Pharmacy 13-Long Term Care

  • Long Term Care Pharmacy
  • Sedalia, MO
  • NPI 1467102863
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Kent Summers, PHARM.D.

  • Pharmacist
  • Clinton, MO
  • NPI 1720076037
  Authorized official Same address or phone
• Stephanie Kelley, PHARMD

  • Pharmacist
  • Sedalia, MO
  • NPI 1508265836
  NPD
• Stephanie Lynn Parkhurst, PHARM. D

  • Pharmacist
  • Sedalia, MO
  • NPI 1598012056
  NPD
• Whitney D Arnold, PHARM.D.

  • Pharmacist
  • Sedalia, MO
  • NPI 1396086088
  NPD (past)
• Bryon E Conrad, RPH

  • Ambulatory Care Pharmacist
  • Warrensburg, MO
  • NPI 1669250403
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1417614702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352757",
            "telephone_number": "660-851-0717",
            "fax_number": "660-310-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 THOMPSON BLVD STE 100",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012243",
            "telephone_number": "660-851-0717",
            "fax_number": "660-310-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS PHARMACY 13 INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERS PHARMACY ENTERPRISES, CORP",
        "enumeration_date": "2021-11-21",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-351-0602",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600105307",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Ray Stout, M.D.
• Christa N Strickland, PLMFT
• Thomas Joseph Strouse, D.C.
• Mandy Elaine Stuckey
• Sugarshir Inc (Medicine Store)
• Summers Pharmacy 13 Inc (Summers Pharmacy 13-Long Term Care)
• Sunny Meadows Living Center
• Surgical Services of Sedalia LLC
• Stephanie L Sutherland, PMHNP
• Sylvia G. Thompson Residence Center

• Community/Retail Pharmacy in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.